Organization
KNIFE RIVER GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN D. JENSEN (EXECUTIVE DIRECTOR)
(701) 748-6627
Entity
Organization
Contact information
Practice address
508 3RD AVE NW, HAZEN, ND 58545-4503
(701) 748-6627
(701) 748-6637
Mailing address
PO BOX 392, HAZEN, ND 58545-0392
(701) 748-6627
(701) 748-6637
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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